Is nebulization effective for vocal cord polyps?

Written by Deng Bang Yu
Otolaryngology
Updated on November 19, 2024
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Vocal cord polyps refer to benign neoplasms located on the vocal cords. These neoplasms cause hoarseness, which is persistent, and in severe cases, may lead to voice loss or a distinct sensation of a lump when speaking. Clinically, vocal cord polyps are primarily removed through surgery. Nebulized inhalation treatments with medication can help reduce the swelling of the vocal cord polyps and alleviate congestion. Thus, nebulized inhalation plays a definite role in the treatment of vocal cord polyps, but it should not be expected to completely eliminate the polyps, as this is unrealistic and unachievable. Post-surgical nebulized inhalation can help reduce congestion and swelling, and actively aid in the recovery from vocal cord polyp surgery.

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Written by Li Mao Cai
Otolaryngology
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Vocal cord polyp general anesthesia surgery process

Vocal cord polyp surgery under general anesthesia currently involves the use of a combined inhalation and general anesthesia approach, employing a supporting laryngoscope for the excision of the vocal cord polyp. Before the surgery begins, general anesthesia is administered. After the patient is under general anesthesia, the doctor uses a supporting laryngoscope to fully expose the vocal cord polyp. Next, through a fibroscope, in conjunction with fiberoptic instruments or a carbon dioxide laser, the vocal cord polyp is completely excised. The source of the vocal cord injury is repaired to make the vocal cord surface smooth, and then the surgery is concluded. After the surgery, the anesthetist waits for the patient to wake up from the general anesthesia before they can be taken back to their room. The overall duration of the procedure, from anesthesia to surgery to awakening, is typically about an hour or so. Of course, treatment needs to be tailored to the specific patient. In some patients, the vocal cord polyps may not be easily exposed under the supporting laryngoscope, which might extend the duration slightly, whereas in others, where the exposure is straightforward, the procedure may be relatively shorter.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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How to effectively treat vocal cord polyps?

Vocal cord polyps are neoplasms that occur in the anterior middle third of the vocal cords due to excessive voice use. The mucous membrane of the polyp is relatively smooth, and the base may be broad or pedunculated. During phonation, the shape of the glottis changes, thus patients with vocal cord polyps experience a hoarse voice and find speaking strenuous. If treatment with medications aimed at clearing blockages and dispersing accumulations is ineffective, surgery is generally considered. The procedure is performed under general anesthesia with direct vision through a supported laryngoscope. Postoperatively, patients should avoid speaking and overusing their voice to reduce the risk of recurrence, and consume more foods that are cooling and reduce heat. (Medication should be used under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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Can vocal cord polyps be treated conservatively?

Vocal cord polyps are relatively common otolaryngological diseases. Some patients may consider conservative treatments such as oral medication, nebulization therapy, and voice rehabilitation training. However, throughout the treatment process, regular follow-ups are necessary to observe the treatment effects. If symptoms like hoarseness gradually improve and the vocal cord polyps shrink after conservative treatments, it might be advisable to continue the treatment. Conversely, if hoarseness or the size of the polyps does not improve or continues to grow, conservative treatments are deemed ineffective, and surgical removal may be necessary. Post-operative regular check-ups are also essential to monitor for any recurrence. (Please administer medication under the guidance of a professional physician.)

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Written by Deng Bang Yu
Otolaryngology
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How long does it take to wake up from general anesthesia for vocal cord polyps?

Vocal cord polyps are common and frequently occurring clinical benign tumors located on the vocal cords. Clinically, the main treatment is the removal of the vocal cord polyps under a microscope-assisted laryngoscope, performed under general anesthesia. Currently, our control technique for general anesthesia is very refined, and the surgery for vocal cord polyps generally takes about 15 minutes. After these 15 minutes, our patients gradually regain consciousness. Therefore, patients undergoing general anesthesia for vocal cord polyp surgery can progressively wake up after the surgery is complete. This is achievable due to our current precise control techniques in anesthesia and medication management, allowing patients to awaken promptly after the surgery.

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Written by Xu Qing Tian
Otolaryngology
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How to detect vocal cord polyps

Vocal cord polyps are common and frequently occurring diseases in otolaryngology. How to examine vocal cord polyps primarily involves assessing the patient's symptoms. For instance, if a patient develops vocal cord polyps, they will first exhibit symptoms of hoarseness. If the hoarseness persists and cannot be alleviated, an electronic laryngoscopy should be conducted initially. By using an electronic laryngoscope, the movement of the vocal cords and the condition of the vocal cord mucosa can be observed on a display screen, thereby identifying the presence of vocal cord polyps. For patients with vocal cord polyps, it is important in daily life to reduce voice use, avoid excessive vocalization, and lessen harmful habits such as smoking and drinking to prevent the occurrence of vocal cord polyps.